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- W3157390517 abstract "Given the increased risk prevalence of coronary artery disease, inflammatory disease, and cancer, morbidly obese patients are frequently scheduled for various types of surgery. In addition, the number of bariatric surgeries has risen almost exponentially. Therefore, the anaesthesiologist is more frequently challenged with providing general anaesthesia for this patient population. General anaesthesia comes with increased risks of events such as perioperative morbid cardiac events and postoperative respiratory failure. Postoperative respiratory failure is particularly common after cardiac, thoracic, and major abdominal surgery. Anaesthesiologists have a range of support mechanisms at their disposal to reduce postoperative respiratory failure including emergent reintubation. Apart from simple oxygen delivery via nasal cannulas or face masks, Venturi masks, and Mapleson circuits, there are various positive pressure systems available. These systems are commonly referred to as non-invasive ventilation (NIV) systems. NIV can be non-invasive continuous positive airway pressure or non-invasive intermittent positive pressure ventilation. Both types of NIV have been shown to improve oxygenation and hypercapnia in morbidly obese patients in the perioperative environment. This chapter presents the physiology and pathophysiology of the respiratory system in the morbidly obese patient. In addition, it illustrates the impact and implications of NIV systems on this patient population in the perioperative setting." @default.
- W3157390517 created "2021-05-10" @default.
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- W3157390517 date "2021-04-01" @default.
- W3157390517 modified "2023-09-24" @default.
- W3157390517 title "Continuous positive airway pressure" @default.
- W3157390517 doi "https://doi.org/10.1093/med/9780198757146.003.0011" @default.
- W3157390517 hasPublicationYear "2021" @default.
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